Registration for the Melbourne, Victoria
Lift for Life Training Workshop
Location: Albert Park, Melbourne.
Date: Thursday 22nd & Friday 23rd March 2018
Time: 9 - 4pm
15 CECs
Lift for Life® is an evidence based strength training program designed for adults with (or at risk of developing) type 2 diabetes and other chronic conditions.

For further information about Lift for Life visit
or call 1300 211 311
Full Name *

Name of Business:

Professional Registration Body *

Registration Number (if known)

Mailing Address *

(not including suburb or PC)
Suburb *

Postal Code *

Preferred contact telephone number *

Email address *

Qualification/Profession *

Multiple selections can indicated

Please provide a brief plan of how you will integrate Lift for Life into your list of services.

Thank you for commencing the registration for the Lift for Life training workshop in Melbourne on Thursday 22nd & Friday 23rd March 2018.

Final step: Payment (an invoice will be emailed to you shortly) this will secure your position within the workshop.

We look forward to catching you at the workshop.

Any questions, please list below or contact us at

Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform